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Transcript of The following presentation is for use by instructors and Emergency Care Management Consultants in...
The following presentation is for useThe following presentation is for useby instructors and Emergency Careby instructors and Emergency Care
Management Consultants in promoting Management Consultants in promoting the establishment of AED programs tothe establishment of AED programs to
Lifeguard, Aquatics Safety and Recreation,Lifeguard, Aquatics Safety and Recreation,Business and Community Groups.Business and Community Groups.
Presented as a public service byPresented as a public service by
Lifesaving Resources Inc.Lifesaving Resources Inc.www.lifesaving.comwww.lifesaving.com
AAutomatedutomatedEExternalxternal
DDefibrillatorsefibrillators
AAutomatedutomatedEExternalxternal
DDefibrillatorsefibrillators
““A sudden deathA sudden deathneed not be need not be permanent.”permanent.”
““A sudden deathA sudden deathneed not be need not be permanent.”permanent.”
Developed byDeveloped by
AED Instructor FoundationAED Instructor Foundation
Helping those who help save lives Helping those who help save lives Helping those who help save lives Helping those who help save lives
The Reality of Life…The Reality of Life…
……Someday everyone will die!Someday everyone will die!……Someday everyone will die!Someday everyone will die!
PrematurePrematureDeathDeath
PrematurePrematureDeathDeath
Peter Safar, MDPeter Safar, MD
CommunityCommunityEMSEMS
ServicesServices
EmergencyEmergencyDepartmentsDepartments
Specialty Specialty Medical CentersMedical Centers
(Cardiac, Trauma, Burn)(Cardiac, Trauma, Burn)
SeriousSeriousIllness Illness & &
InjuryInjury
But despite EMS advances…But despite EMS advances…
Sudden Deaths continue to increase. Sudden Deaths continue to increase.
350,000
300,000
250,000
200,000
150,000
100,000
50,000
Annual D
eath
s (U
.S.)
SuddenCardiacArrest
Lung Breast Traffic AIDS/ Cancer Cancer Accidents HIV
CAUSES OF DEATH
Stroke
Disease or Incident
Murder
generatinggenerating generatinggenerating
producingproducing producingproducing
resulting inresulting in resulting inresulting in
OO2 2 OO2 2
There is a difference betweenThere is a difference between
Heart AttackHeart Attackandand
Sudden Death?Sudden Death?
BlockedBlockedCoronaryCoronaryArteryArtery
Damaged Damaged HeartHeartMuscleMuscle
The “S-A” NodeThe “S-A” NodeThe heart’s ownThe heart’s own
““pacemaker”pacemaker”
HeartbeatHeartbeatContinuesContinuesto Beatto Beat
Signs Signs && Symptoms Symptoms((Patient may have one or more…)Patient may have one or more…) Signs Signs && Symptoms Symptoms((Patient may have one or more…)Patient may have one or more…)
• Chest Pain/DiscomfortChest Pain/Discomfort• Radiation to Arm, Neck Radiation to Arm, Neck oror Jaw Jaw• Profuse SweatingProfuse Sweating• Difficulty BreathingDifficulty Breathing• Fearful, Confused Fearful, Confused oror IrritableIrritable• Denial of SymptomsDenial of Symptoms
• Chest Pain/DiscomfortChest Pain/Discomfort• Radiation to Arm, Neck Radiation to Arm, Neck oror Jaw Jaw• Profuse SweatingProfuse Sweating• Difficulty BreathingDifficulty Breathing• Fearful, Confused Fearful, Confused oror IrritableIrritable• Denial of SymptomsDenial of Symptoms
Continues to Have Heartbeat & BreathingContinues to Have Heartbeat & Breathing Continues to Have Heartbeat & BreathingContinues to Have Heartbeat & Breathing
Heart AttackHeart Attack
““V-Fib”V-Fib”ChaoticChaotic
QuiveringQuiveringbutbut
NO NO HeartbeatHeartbeat
““V-Fib”V-Fib”ChaoticChaotic
QuiveringQuiveringbutbut
NO NO HeartbeatHeartbeat
V-fibV-fib
Patient Symptoms Patient Symptoms when inwhen in
Ventricular Fibrillation Ventricular FibrillationPatient Symptoms Patient Symptoms when inwhen in
Ventricular Fibrillation Ventricular Fibrillation• UnconsciousUnconscious• No Effective Heart ActionNo Effective Heart Action• No BreathingNo Breathing• Looks Terribly Sick Looks Terribly Sick && Discolored Discolored
Resulting in…Resulting in…
• UnconsciousUnconscious• No Effective Heart ActionNo Effective Heart Action• No BreathingNo Breathing• Looks Terribly Sick Looks Terribly Sick && Discolored Discolored
Resulting in…Resulting in…
Life or Death is now a matter of TIME
No Oxygen to the Brain or Body OrgansNo Oxygen to the Brain or Body OrgansNo Oxygen to the Brain or Body OrgansNo Oxygen to the Brain or Body Organs
SomeSome OxygenOxygenSomeSome
OxygenOxygen
0 Minutes0 Minutes
NoNo OxygenOxygen
NoNo OxygenOxygen
10-12 Minutes10-12 Minutes
PHYSICALPHYSICAL CHEMICALCHEMICAL ELECTRICALELECTRICAL
PHYSICALPHYSICAL CHEMICALCHEMICAL ELECTRICALELECTRICAL
Most Dangerous ComplicationMost Dangerous ComplicationMost Dangerous ComplicationMost Dangerous Complication
80-90%80-90%ofof sudden deathssudden deaths
are caused byare caused by
V-fibV-fib
80-90%80-90%ofof sudden deathssudden deaths
are caused byare caused by
V-fibV-fib
R I R I PP
TheThe Only CorrectionOnly Correction forfor
V-fibV-fibTheThe Only CorrectionOnly Correction forfor
V-fibV-fib
De-fibDe-fib
Police, Fire & EMS ServicesPolice, Fire & EMS Services
Chain of SurvivalChain of SurvivalChain of SurvivalChain of Survival
EarlyEarly Early Early Early Early Early Early Access Access CPR Defibrillation Advanced CPR Defibrillation Advanced Care Care
EarlyEarly Early Early Early Early Early Early Access Access CPR Defibrillation Advanced CPR Defibrillation Advanced Care Care
EarlyEarlyDefibrillationDefibrillation
© American Heart Association© American Heart Association
Survival is reduced by 10% for Survival is reduced by 10% for each minute that defibrillation is delayed each minute that defibrillation is delayed
Surv
ival R
ate
(perc
ent)
Time to Defibrillation (minutes)
00
2020
4040
6060
8080
100100
55 1010 1515 2020 2525 3030
TheThe SolutionSolution
toto Sudden DeathSudden Death
TheThe SolutionSolution
toto Sudden DeathSudden Death
ShockingShocking
AEDAEDAEDAED
SafeSafe SimpleSimple UseUse
HighHigh SuccessSuccess RateRate
SafeSafe SimpleSimple UseUse
HighHigh SuccessSuccess RateRate
AEDAEDss
ONLYONLY Advise ShocksAdvise Shocks
If there is a shockable If there is a shockable rhythmrhythm
AEDAEDss
ONLYONLY Advise ShocksAdvise Shocks
If there is a shockable If there is a shockable rhythmrhythm
AEDsAEDsAEDsAEDs
ReadinessReadiness ReadinessReadiness
VisualVisual VisualVisual
Audible Audible Audible Audible
WellWellIllustratedIllustrated
• CPRCPR (only)(only) ……………………… ……………………… 0 - 2%0 - 2%
• EMS/EREMS/ER …………………… …………………… 5 - 15%5 - 15%
• CPRCPR++AEDAED…….. …….. 30 - 70%30 - 70%
• CPRCPR (only)(only) ……………………… ……………………… 0 - 2%0 - 2%
• EMS/EREMS/ER …………………… …………………… 5 - 15%5 - 15%
• CPRCPR++AEDAED…….. …….. 30 - 70%30 - 70%
Part of anPart of an On-siteOn-site
EmergencyMedical
ResponsePlan
Part of anPart of an On-siteOn-site
EmergencyMedical
ResponsePlan
PPublic ublic AAccess ccess DDefibrillationefibrillation
MedicalMedicalControlControlMedicalMedicalControlControl
On-site DrillsOn-site Drills&& Review Review
On-site DrillsOn-site Drills&& Review Review
AED AcquisitionAED Acquisition & & MaintenanceMaintenanceAED AcquisitionAED Acquisition & & MaintenanceMaintenance
Procedures Procedures & & ProtocolsProtocols
Procedures Procedures & & ProtocolsProtocols
EMSEMSServicesServices
EMSEMSServicesServices
MedicalMedicalFacilitiesFacilitiesMedicalMedicalFacilitiesFacilities
Site SurveySite Survey& Needs& NeedsAnalysisAnalysis
Site SurveySite Survey& Needs& NeedsAnalysisAnalysis
Incident ReviewIncident ReviewIncident ReviewIncident Review
TrainingTrainingTrainingTraining
A varietyA varietyof unitsof unitsA varietyA varietyof unitsof units
areareavailableavailable
32
How Many ?How Many ?
Location ?Location ?How Many ?How Many ?
Location ?Location ?
On-siteOn-siteEmergencyEmergencyResponseResponse
EmergencyEmergencyMedicalMedicalSystemSystem
EmergencyEmergencyMedicalMedicalSystemSystem
CommunityCommunityEMSEMS
ServicesServices
EmergencyEmergencyDepartmentsDepartments
Specialty Specialty Medical CentersMedical Centers
(Cardiac, Trauma, Burn)(Cardiac, Trauma, Burn)
Who is Who is oror can becan betrained to use an AED?trained to use an AED?
Who is Who is oror can becan betrained to use an AED?trained to use an AED?
• Flight AttendantsFlight Attendants• Security GuardsSecurity Guards• FirefightersFirefighters• UshersUshers• Corporate Corporate
Emergency Emergency Response TeamsResponse Teams
• Cruise Ship Cruise Ship PersonnelPersonnel
• Flight AttendantsFlight Attendants• Security GuardsSecurity Guards• FirefightersFirefighters• UshersUshers• Corporate Corporate
Emergency Emergency Response TeamsResponse Teams
• Cruise Ship Cruise Ship PersonnelPersonnel
• LifeguardsLifeguards• Mall WorkersMall Workers• PolicePolice• Golf ProsGolf Pros• Health Club Health Club
EmployeesEmployees• StudentsStudents• Office StaffsOffice Staffs• PhysiciansPhysicians
• LifeguardsLifeguards• Mall WorkersMall Workers• PolicePolice• Golf ProsGolf Pros• Health Club Health Club
EmployeesEmployees• StudentsStudents• Office StaffsOffice Staffs• PhysiciansPhysicians
• Physician’s Prescription/OrderPhysician’s Prescription/Order• Physician’s Prescription/OrderPhysician’s Prescription/Order
Medical Director
AEDs AEDs && thethe LawLaw
• “ “Good Samaritan Law” ProtectionGood Samaritan Law” Protection• Medical Control Medical Control • Current Case Law Current Case Law ??
• “ “Good Samaritan Law” ProtectionGood Samaritan Law” Protection• Medical Control Medical Control • Current Case Law Current Case Law ??
AED ProgramAED ProgramAED ProgramAED Program
Prevent Premature DeathPrevent Premature DeathBut it alsoBut it also Extends Life and ProductivityExtends Life and ProductivityEnhances Employee Enhances Employee && Client Morale Client MoraleEnhances Employee Enhances Employee && Client Loyalty Client Loyalty Promotes Personal Safety & HealthPromotes Personal Safety & HealthLimits Liability ExposureLimits Liability Exposure……and if death occursand if death occurs
Comfort, Support Comfort, Support && Closure Closure forfor Family Family
Prevent Premature DeathPrevent Premature DeathBut it alsoBut it also Extends Life and ProductivityExtends Life and ProductivityEnhances Employee Enhances Employee && Client Morale Client MoraleEnhances Employee Enhances Employee && Client Loyalty Client Loyalty Promotes Personal Safety & HealthPromotes Personal Safety & HealthLimits Liability ExposureLimits Liability Exposure……and if death occursand if death occurs
Comfort, Support Comfort, Support && Closure Closure forfor Family Family
CPR CPR and anand an AED AED CPR CPR and anand an AED AED
Prior State of HealthPrior State of Health Severity of the EventSeverity of the Event Specialty Medical CareSpecialty Medical Care ((Quality & Availability)Quality & Availability)
Prior State of HealthPrior State of Health Severity of the EventSeverity of the Event Specialty Medical CareSpecialty Medical Care ((Quality & Availability)Quality & Availability)
Immediate Life SupportImmediate Life Support Immediate Life SupportImmediate Life Support
RapidRapidDefibrillationDefibrillation
RapidRapidDefibrillationDefibrillation
ContinuedContinuedLife SupportLife Support
ABCS CAREABCS CARE
ContinuedContinuedLife SupportLife Support
ABCS CAREABCS CARE
TimelyTimelyDefinitiveDefinitive
CareCare
TimelyTimelyDefinitiveDefinitive
CareCare
InitialInitialLife SupportLife Support
ABCS CAREABCS CARE
InitialInitialLife SupportLife Support
ABCS CAREABCS CARE
EffectiveEffectiveCPRCPR
EffectiveEffectiveCPRCPR
Early Early RecognitionRecognition
Early Early RecognitionRecognition
Make theMake theRight CallRight CallMake theMake theRight CallRight Call
SystemSystemofof
SurvivalSurvival
SystemSystemofof
SurvivalSurvival
An On-site… An On-site…
For use by…For use by… For use by…For use by…
PrematurePrematureDeathDeath
PrematurePrematureDeathDeath
What are What are youyou going to do about it? going to do about it?What are What are youyou going to do about it? going to do about it?
When Hearts & Brains Are Too Good to DieWhen Hearts & Brains Are Too Good to DieWhen Hearts & Brains Are Too Good to DieWhen Hearts & Brains Are Too Good to Die
Sudden Death Sudden Death Can BeCan Be Interrupted Interrupted &&
Sudden Death Sudden Death Can BeCan Be Interrupted Interrupted &&
Life Life Can BeCan Be ExtendedExtendedLife Life Can BeCan Be ExtendedExtended
For Your Commitment ToFor Your Commitment To
Safety, Health Safety, Health && Life LifeLifesaving Resources Inc.Lifesaving Resources Inc.
www.lifesaving.comwww.lifesaving.com
For Your Commitment ToFor Your Commitment To
Safety, Health Safety, Health && Life LifeLifesaving Resources Inc.Lifesaving Resources Inc.
www.lifesaving.comwww.lifesaving.com